Thursday, December 10, 2009

For the Santa's in my Life...

It has been 9 months since I last posted something here ( balme it on Facebook!!!) and I guess it's time for mew to renew my relationship with my blogger account. And besides, I'm free today and got nothing else to do so might as well grab my laptop and type away...

It's December, Christmas is just around the corner and I decided, with a little inspiration from my little sister to list my "Christmas Wishlist" to make giving me a gift a little easier. And definitely, these gifts would make me happy this Christmas...

Here they go...

1. Kobe Bryant's Nike KB24 Zoom 5... I must have this shoe...must must have...mouth-wateringly good...

2. Black Eyed Peas's Albums.... "Behind the Front", "Bridging the Gap","Elephunk","Monkey Business" and "The E.N.D."

3. A nice bedside lamp... gonna be renovating my room real soon...

4. Books..."City of Glass", "City of Ashes" and "City of Bones" all by Cassandra Clare...I heard they are good...I got to find out...

5. A DSLR camera... already granted by SANTA MINIBABS...=)

6. A new perfume...DKNY pour homme...given by SANTA GIL...=)

7. Long sleeves or Polo's, got to many polo shirts and t-shirts already...

8. A laptop table...if there is such a thing hehehehe

9. Tickets to NeYo's concert at the Araneta....

10. Levi's Jeans...loose ones...size 38's hahaha...yup.. thats my waistline...so fat....

11. A portable PUVA machine!!!!

12. Six-pack abs... am willing to buy these myself hahahaha

13. An external Hard Drive... my laptop's memory is filling to the brim...

Among them... I wish good health for my love ones and a beautiful 2010 for everyone...

Sunday, March 22, 2009

Mom's Back And A Shirt For The Ages...

My mom arrived from the states yesterday after 6 months of being away. Of course, we are very happy. We missed her so much. The calm she brings to our household was back after she stepped off the plane and into our arms. We were glad she's back. Would have been nice if Kaye, my other sister, was with her but she's pursuing a dream in the states and she just could not go home yet. Anyway, she's doing great and I wish her all the best.

Anyway, along with mom coming home are "goodies" that she brought for me and bunso. I received quite a few but one gift stood out in particular. It was a brown XXL shirt Kaye sent to me. Why? It's not because of Kaye's obsession of seeing me in a muscleman shirt knowing that my tummy would bulge out like a pregnant woman on her third trimester, but because, I know for a fact that that shirt was the first gift she gave to me coming from her hard earned money.

The thought of my little sister, going about the stores in the US, trying to look for a gift, and budgeting whatever little saving she has from working so hard and yet buying a relatively expensive shirt for me, is very touching. She has not yet established any semblance of a stable job there yet, there she was, sending gifts. Finding a way. I appreciated it so much.

To Kaye, I love you. I would like you to know, that even though I would look like an overgrown "butete" in that shirt, I appreciate it very much. Thank you. It was very thoughtful. I would wear it soon. Oh by the way, next time, a shirt with the little reptile on the upper left would be better ok? Preferably, a size 6. hehehe. Just kiddin' Love you.

I feel everything is coming together...

Saturday, February 28, 2009

31 on Three One...

March 1 is the 60th day of the year (61st in leap years) in the Gregorian calendar.
There are 305 days remaining until the end of the year.
And...
I am celebrating my birthday today. My 31st, damn!!! :)
Wow...
I can't believe I'm 31 years old now...
Has it been that long? Has it been that quick?
31 years walking the Earth.
Wow...
Am thankful I survived for so long.
Kudos to my parents and sisters...they made 31 years pass so quickly...
They made it fun most of the time...
Oh my God!!!
I am 31!!!
What have I done? What would I do?
So many questions I don't have the answers to...
Damn!!!
Next year, I'd be out of the calendar...
I'd be 32...my goodness!!!
How many years do I have left
before I leave this Earth?
One? Two? Hopefully, another 3o or so...
Will 31 be better than 30? I do hope so...
At 31, what will I get?
Hypertension? Arthritis?
Hopefully a new shirt :)
This blog about my birthday,
Is turning into a mess...
Just random thoughts running through my head...
Am just typing what comes to mind.
Just never thought my birthday has come.
I don't have a birthday wish list or at least,
I haven't thought about it...yet.
For those who'd give gifts, I'd deeply appreciate it :)
After this day is over, I'd write about this again.
Maybe I'd have a clearer picture, of how my day went.
But as of the moment, This is all I have.
Some random thoughts, coming from my heart.
Am 31 on Three One... Thank God!!!
This blogs done... :)

Thursday, February 19, 2009

Deathwish

It has been two days now since my Tito Emmil was laid to rest. You see, he passed away last February 15, 2009 finally succumbing to the complications of ACUTE NECROTIZING PANCREATITIS. We will miss him of course, but no one will miss him more than my Tita Sonia, her wife.

Tita Sonia loved her dearly. She was the epitome of a perfect wife for Tito Emmil. She never left her side during the two weeks he was at the ICU battling for his life. She took care of him when he was alive. If only for Tita, Tito Emmil lived a happy and glorious life.

"Tita, my condolences to you, be strong and we love you."

In this light (since I have been having feelings about my own imminent demise, God forbid!) I reflected upon the things I wanted to be done to me once I'm already lifeless and here they go.

1. If I die abruptly, as in, in an accident, I want to donate my corneas and my heart ONLY as I feel they are the healthiest part of me.

2. If I'm dying slowly in my death bed and I go into a coma, I want all the medications being given to me to be stopped. No point sustaining my life if I can not see the people I love.

3. The last person I would like to see before I die would be my mom. If I go to hell, at least, an ANGEL would be the last one I'd see.

4. I would like a three-day wake then I'd like to be cremated during twilight. The thought of worms eating my body just grosses me out. At least, if I burn, I'd be like the Human Torch. :)

5. During my wake, I want it to be festive. Lots of food and merriment. I want everybody to have fun. Have a concert on the last day of my wake. Have people gamble. Make it like Las Vegas. But, it will only start at 9pm 'cause I want to have a mass for me by my friends, Fr. Sonny, Fr. Jojo and hopefully, Fr. Patrick at 6pm for every day of my wake.
6. I want happy colors for my wake. Black and gray are a no-no. White can be excused as long as it is printed. Yellow, red and navy blue would make me happy.
7. I don't want no Eulogies.
8. On the day I am going to be buried, I want to have a mass for me again by my friends then, right before my coffin gets closed, I only want one person to speak on my behalf to thank the people I cared about and who cared enough, my little sister Atty. Claudette Tolentino.
9. I only want 6 people to carry my casket. They will be my pallbearers. Dr.Bonifacio Battallones, Dr.Shearwin Soyao, Dr. Angelo Adraneda, Dr. Alferrie de Guzman, Engr. Renier Galvez and Engr. Erald Magbitang. No more, no less. Make sure they are there.
10. I don't want anybody crying during my burial. I just want a prayer and a wish for me to have a safe journey. I don't want to carry sadness with me to the afterlife. Crying can be done before the burial, in private, but not during my cremation. I hope that's clear. Anybody who shed's a tear will see me that night. I promise. 'Am gonna tug at your leg.

So far, these are only 10 requests. This list may change in time as I grow older. Hopefully. But, as of the moment, if I die in the very near future, these are all I want. These will make me happy.

For Tito Emmil, I hope you found peace with Him. I hope you are already there in the happy place we so fervently work to get to. We will miss you. We'd take care of Tita, I promise you that. Have a safe journey and say hi to papa Jesus for me...

Saturday, February 7, 2009

On Duty 24/7...Just Like 7-eleven!!!

At This particular moment in time, these words describe everything that I feel.


FATIGUED.

TIRED.

BURDENED.

BURNT-OUT.

STRESSED.


You see, the husband of my aunt is currently battling for his life against a very fatal disease. He has been confined in the hospital where I work for almost a week now after undergoing surgery and battling the complications that are the sequel of what he has.

ACUTE NECROTIZING (HEMORRHAGIC) PANCREATITIS.

Here are the events that happened which led to the current emotional, mental, physical and I know, soon, financial stress that my family is bearing right now.

Saturday (January 31, 2009) - Tito Emmil started having generalizedvague abdominal pains with vomiting episodes. I was called to assess him, told him not to eat anything and decided to just observe it for a day. He took his Esomeprazole and a dose of Hyosine-N-B-B as he attributed what he was feeling to his history of Acid Related Disorders when he was in the States.

Sunday (February 1, 2009) - Morning came and Tito Emmil, though still experiencing some abdominal discomfort actually said he felt better. However, in the evening, his pain intensified and we decided that we will bring him to the hospital first thing the next morning.

Monday (February 2, 2009) - Upon arriving at the hospital, I immediately had Tito Emmil worked-up. Blood exams were done and X-rays were taken. His blood pressure dropped at the ER. Signs were not good. Dra. Marci Cruz, an internist, and me, decided that Tito Emmil needed to be openned up. The condition might be due to septicemia from a ruptured appendix or bowel as his BP really dropped considerably. I burned the phone lines looking for blood as it would be imperative to start a transfusion as his circulation was already failing. Luckily, through the help of a good friend, Dr. Shearwin Soyao, I was able to find blood at the University of the East Hospital. I went to pick up the 3 units of whole blood at around 2pm. I arrived back at the hospital at around 5:30pm, just in time to see the surgeon, Dr. Flor Mendoza and the anesthesiologist, Dr. Barbosa finishing up the Surgery. It was Dr. Santiago, the cardiologist, who broke to me that the case was not a simple ruptured bowel or appendix, but an Acute Necrotizing Pancreatitis. That instant, I knew it was bad...too bad.... Tito Emmil had one of the worst cases for an Acute Surgical Abdomen. A case whoose mortality approches 100%. Surgery ended at about 6:30pm and Tito Emmil was brought to the ICU. All this time, Tita Sonia was trying to be strong. We all knew Tito Emmil was on towards the battle for his life. Three different tubes were coming out of his abdomen and not less tha 5 intravenous fluids with different medications were hanging above his head. Inspite of all this, his BP remained critically low and to compound it more, his kidney had already shut down. Tito Emmil gained consciousness at around midnight. But he was very weak and obviously in pain. Tita never left his side. All we could do was pray.

Tuesday (February 3, 2009) - Tito Emmil's condition was getting worse. His medications were increased to maximum levels just to be able to sustain his very low BP. He still has no urine output which meant his kidneys are not functioning the way it was suspposed to. However, Tito Emmil was very alert and very conscious of what was happening. This gave us hope.

Wednesday (February 4, 2009) - With his kidney still not functioning and all the fluids we put inside Toto Emmil's body, it was but a formality that his lung would begin to congest. And it did. Pulmonary edema arose. His O2 saturation was below 85 and still decreasing. Dra. Estrella, a nephrologist, along with the other doctors, decided that Tito should undergo an emergency Hemodialysis despite his very low BP. Tita consented. The Hemodialysis was started at around 3pm. By the second hour, due to the further decrease of Tito Emmil's BP while on dialysis, he lost consciousness. The hemodialysis was stopped and he was brought back to the ICU where he again regained his consciousness. We thought we lost him. Thank God we did not. He woke up. His dad arrived from Canada and saw him ok.

Thursday (February 5, 2009) - Tito's O2 sats went down again, another HD session was in order. Tita, because of the incident yesterday was wary of the HD. I had to convince her to give it a go. No sense holding back then as we already did what had to be done in the first place. Besides, the previous HD proved beneficial. Tito's BP went from 80/60 to 120/80. "twas a very good sign. And that increase in BP was a good indicator that he will tolerate the procedure very well. And he did. Tita was all smiles after the HD. Tito seemed stronger. Everybody was relieved. The firsts good day after the surgery ended with smiles.

Friday (February 6, 2009) - Tito's BP was already stable. His meds were being tapered off. However, he started to swell. Too much fluid was accumulating in his body due to his renal failure. His mom and siblings arrived from Canada just a day after his dad came. He was happy albeit sad at the same time. Another HD session was scheduled to remove the excess fluids and relieve the edema. It went well. Tito is doing very well.

Saturday (February 7, 2009) I was from duty and went home for a while then went back a few hours later to monitor the dialysis. Tito was awake the whole time. Everything is going well. His BP-elevating meds were tapered to a minimum. I explained what happened to his relatives. It was tiring. Much like a revalida case back in med school.

Right now, everything is going well. We hope he recovers fully but we are thankful he is still alive and literally, still kicking. And as for me, well, I am still...

TIRED...
FATIGUED...
BURDENED...
BURNT-OUT...
STRESSED...
And I don't see it ending anytime soon...

The dilemma of being the only doctor around in the family right now...

Tuesday, February 3, 2009

Tiring Days Ahead

Tired.
Exhausted.
Drained.
"What am I to do?"
" I'm just a simple doctor, not much I can do..."
:-(

Monday, January 26, 2009

Is This True????

I was admiring the new Iphone (16gig) that my good friend, Dra. Maricel Adan recently purchased when, a software installed in it caught my attention. It was a software that's supposed to tell you your personality, based on the date you were born. I know it's kind of far-fetched but, I decided to try it out out of curiosity and for fun.

Here's what I got for March 1, 1978...

"You are very curious and dedicative. When you are interested in something, everything else has to wait. This is your quality. But, if you learn to be more patient and complete what you have started, you will be successful in life."
" You believe in love at first sight. You won't wait to learn more about the person. Vise versa, people who fail to impress will hardly get the chance to be your friend. Your emotion is on the extreme. You can only love or hate, nothing in between and this often shows in your expression.Try not to end a relationship in a quarrel."


As much as I'd like to deny it, what that damned software said was almost, exactly me in every single word stated. Eerie right.

Do you think that's me up there? Feel free to comment. :)